Hi there. At the outset, i note your problem has been present awhile now. No single treatment regime in acne
works for all patients. If there is one medication that has 'universal appeal' in acne managment it has to be Roaccutane
). It however has side effects & your dermatologist
will be the best person to explain these in detail, take a consent form you before starting & do a series of preliminary blood tests & as per protocol at regular intervals during treatment. From your description you will definitely do well with a non-comedogenic sunscreen ( i usually recommend Bioderma sunscreens formulated especially for acne patients) to reduce the redness
& while using systemic isotreinoin therapy. Cheers & Good luck with your treatment!